A technique for emergency liver packing

James V. Sitzmann, Seth A. Spector, Xiaoling Jin, Erik Barquist, Leonidas G. Koniaris

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Control of liver hemorrhage may present a daunting clinical scenario. Use of liver packing techniques is highly effective to control bleeding but can result in significant recurrent bleeding with pack removal. Such bleeding is particularly a problem when large portions of the hepatic parenchymal surface and Glisson's capsule have been disrupted. We describe, herein, our approach to hepatic packing in scenarios where a large component of hepatic capsular disruption has occurred. Use of a non-stick bowel bag is employed on the disrupted liver surface, which, when removed, will not result in liver rebleeding. This technique has been used successfully in the management of five cases of severe liver injury with extensive capsular disruption. Familiarity with such an approach may facilitate management of similar liver injuries.

Original languageEnglish (US)
Pages (from-to)284-287
Number of pages4
JournalJournal of Gastrointestinal Surgery
Issue number2
StatePublished - Feb 1 2005


  • Damage control
  • Hemangioma
  • Hepatocellular
  • Liver packing
  • Liver trauma

ASJC Scopus subject areas

  • Surgery


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